| NPI | 1235319450 |
|---|---|
| Doing Business As | EAGLE RIVER PRIMARY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER J OXFORD Registered Agent 907-694-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK PA448) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2020-05-21 |